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KELEIGH JEFFERSON PMHNP-BC
NPI 1609298926
Nurse Practitioner - Psychiatric/Mental Health in Vallejo, CA

Active since January 07, 2014PECOS Enrolled
631 TENNESSEE ST STE 101, VALLEJO, CA 94590(707) 415-8409 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Apr 12, 2017, Oct 28, 2016 (3 updates tracked since 2016).

About Keleigh Jefferson Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELEIGH JEFFERSON PMHNP-BC (NPI 1609298926) is an individual psychiatric/mental health provider in Vallejo, California, licensed in California (NPF95004734) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Murrieta.

NPPES Registry Identity

NPI1609298926
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELEIGH JEFFERSONCredential: PMHNP-BC
Location Address631 TENNESSEE ST STE 101Vallejo, CA 94590-4432
Mailing Address40960 California Oaks Rd # 1030Murrieta, CA 92562-5747 · (951) 704-6779
Phone(707) 415-8409
Sole ProprietorYes
Enumeration DateJanuary 7, 2014
Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1609298926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NPF95004734
Also ListedRegistered NurseTaxonomy 163W00000X · License 817389 (CA)
631 TENNESSEE ST STE 101, Vallejo, CA 94590
Open in Google Maps ↗

Secondary Practice Location 1

Location 129995 Technology Dr Ste 203Murrieta, CA 92563-2633 · Phone (951) 704-6779

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keleigh Jefferson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Keleigh Jefferson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thriveworks Clinical - California PC
328 mi
Mental Health
2804 CAMINO DOS RIOS STE 206
Thousand Oaks, CA 91320
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group
NPI 1801481395 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94590 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE BENNETT LCSW
Social Worker (Clinical)
631 TENNESSEE ST STE 101
VALLEJO, CA 94590
Solano County (617) 379-0469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keleigh Jefferson's NPI number?

The NPI number for Keleigh Jefferson is 1609298926. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Keleigh Jefferson located?

Keleigh Jefferson practices at 631 Tennessee St Ste 101, Vallejo, CA 94590. The listed phone number is (707) 415-8409.

What is Keleigh Jefferson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Keleigh Jefferson enrolled in Medicare?

Yes. Keleigh Jefferson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keleigh Jefferson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keleigh Jefferson reassigns Medicare benefits to Thriveworks Clinical - California PC (Thousand Oaks, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keleigh Jefferson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keleigh Jefferson was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.